John Wright1, A Luke MacNeill2, D Joshua Mayich3. 1. Dalhousie University, 100 Tucker Park Road, P.O. Box 5050, Saint John, NB E2L 4L5, Canada. Electronic address: john.wright@dal.ca. 2. University of New Brunswick, 100 Tucker Park Road, P.O. Box 5050, Saint John, NB E2L 4L5, Canada. Electronic address: luke.macneill@unb.ca. 3. Horizon Health Network, 560 Main Street, Building A, Suite 325, Saint John, NB E2K 1J5, Canada. Electronic address: djmayich@outlook.com.
Abstract
BACKGROUND: A recent case series suggested that surgery with wide-awake local anesthesia is tolerated well by most foot and ankle patients. However, patients were assessed retrospectively and there was no comparison group to show the relative efficacy of this approach. The present study was conducted to address these concerns. METHODS: Perioperative pain and anxiety were assessed in 40 patients receiving forefoot surgery using either wide-awake local anesthesia or general anesthesia. Ratings were collected on the day of surgery using 11-point (0-10) numerical rating scales. RESULTS: Patients in the two anesthesia groups reported no differences in preoperative pain (p=0.500) or anxiety (p=0.820). Patients who received wide-awake local anesthesia reported lower levels of postoperative pain (p<0.001) and anxiety (p<0.001) than patients who received general anesthesia. They also reported little pain (M=0.17, SD=0.32) or anxiety (M=1.33, SD=1.74) during the operation. CONCLUSIONS: Results indicate that surgery with wide-awake local anesthesia is tolerated well by most patients, and that it may have some benefit compared to surgery with general anesthesia.
BACKGROUND: A recent case series suggested that surgery with wide-awake local anesthesia is tolerated well by most foot and ankle patients. However, patients were assessed retrospectively and there was no comparison group to show the relative efficacy of this approach. The present study was conducted to address these concerns. METHODS: Perioperative pain and anxiety were assessed in 40 patients receiving forefoot surgery using either wide-awake local anesthesia or general anesthesia. Ratings were collected on the day of surgery using 11-point (0-10) numerical rating scales. RESULTS:Patients in the two anesthesia groups reported no differences in preoperative pain (p=0.500) or anxiety (p=0.820). Patients who received wide-awake local anesthesia reported lower levels of postoperative pain (p<0.001) and anxiety (p<0.001) than patients who received general anesthesia. They also reported little pain (M=0.17, SD=0.32) or anxiety (M=1.33, SD=1.74) during the operation. CONCLUSIONS: Results indicate that surgery with wide-awake local anesthesia is tolerated well by most patients, and that it may have some benefit compared to surgery with general anesthesia.
Authors: Ajay Kanakamedala; Jeffrey S Chen; Daniel J Kaplan; Christopher A Colasanti; John F Dankert; Eoghan T Hurley; Nathaniel P Mercer; James W Stone; John G Kennedy Journal: Arthrosc Tech Date: 2022-02-08
Authors: John F Dankert; Nathaniel P Mercer; Daniel J Kaplan; Ajay C Kanakamedala; Jeffrey S Chen; Christopher A Colasanti; Eoghan T Hurley; James W Stone; John G Kennedy Journal: Arthrosc Tech Date: 2022-02-08